Provider Demographics
NPI:1336427004
Name:CHUANG, NELSON TA-CHING (MD, MHS)
Entity Type:Individual
Prefix:DR
First Name:NELSON
Middle Name:TA-CHING
Last Name:CHUANG
Suffix:
Gender:M
Credentials:MD, MHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7109 GUILFORD DR STE 300
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21704-5179
Mailing Address - Country:US
Mailing Address - Phone:301-695-6800
Mailing Address - Fax:301-695-6891
Practice Address - Street 1:7109 GUILFORD DR STE 300
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21704-5179
Practice Address - Country:US
Practice Address - Phone:301-695-6800
Practice Address - Fax:301-695-6891
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-29
Last Update Date:2023-11-07
Deactivation Date:2019-08-21
Deactivation Code:
Reactivation Date:2019-10-10
Provider Licenses
StateLicense IDTaxonomies
390200000X
MDD0088057207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty